Nursing a Concept Based Approach Test Bank

Correct Answer: A

Rationale: For a client with coronary artery disease, physical rest is important to help decrease cardiac workload and sympathetic nervous system stimulation. Physical rest helps reduce the demand on the heart muscle, allowing the heart to work more efficiently. By minimizing physical activity, the client can prevent further strain on the heart and lower the risk of complications such as angina or heart attack. Additionally, reducing physical activity can help lower blood pressure and heart rate, which in turn decreases the workload on the heart. Thus, recommending physical rest is essential in managing and improving outcomes for clients with coronary artery disease.

Correct Answer: C

Rationale: When teaching about the type of injury of an amputated digit, the nurse should include the proper handling of the amputated part. The correct method is to wrap the amputated digit in a clean towel, place it in a sealed plastic bag to prevent direct contact with ice, and then place the bag on ice. Placing the amputated digit directly on ice can cause frostbite and further damage to the tissue. By following this method, the amputated digit can be preserved properly until medical help is received. Transporting the person to the hospital is important but proper handling of the amputated digit is critical to increase the chances of successful reattachment. Placing the amputated digit in warm water or taping it to the hand are not recommended methods for preserving an amputated digit.

Correct Answer: B

Rationale: This client statement indicates that they understand the importance of making lifestyle modifications to manage hypertension. Giving up cigarettes and alcohol can significantly improve blood pressure control and overall health for someone with hypertension. It demonstrates that the client is willing to make necessary changes to help manage their condition effectively.

Correct Answer: C

Rationale: Disseminated intravascular coagulation (DIC) is a serious condition characterized by widespread clot formation in the small blood vessels, leading to bleeding tendencies. In DIC, the body consumes clotting factors and platelets faster than they can be replaced, resulting in both bleeding and clotting. Because of this complex pathophysiology, the first line treatment for DIC-related bleeding is to provide replacement of the consumed clotting factors and platelets. Fresh frozen plasma contains clotting factors, and platelets help in stopping bleeding by aiding in clot formation. Therefore, the administration of fresh frozen plasma and platelets helps to correct the coagulopathy in DIC and manage the bleeding episodes effectively. Aspirin, Warfarin (Coumadin), and Heparin are anticoagulants and would not be appropriate in the treatment of DIC-related bleeding as they can exacerbate the bleeding tendency in this condition.

Correct Answer: A

Rationale: The most important thing to remember regarding the warning signs of stroke is to "be alert for sudden weakness or numbness." This is crucial because sudden weakness or numbness in the face, arm, or leg, especially on one side of the body, is one of the hallmark symptoms of a stroke. It is essential to recognize these signs promptly and seek immediate medical attention to minimize the potential damage caused by a stroke. Being aware of these sudden symptoms can help individuals receive timely treatment and improve their chances of recovery.